Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $409.75 / $473.82 / $573.65	Facility	26	$409.75	$473.82	$573.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.92 / $1,216.34 / $1,709.28	Professional		$1,133.92	$1,216.34	$1,709.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $256.16 / $341.46 / $489.80	Professional	26	$256.16	$341.46	$489.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $815.25 / $874.89 / $1,235.45	Professional	TC	$815.25	$874.89	$1,235.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.58 / $1,388.58 / $1,388.58	Professional		$1,388.58	$1,388.58	$1,388.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $1,476.00 / $2,206.19	Professional		$1,087.68	$1,476.00	$2,206.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $327.72 / $444.00 / $646.02	Professional	26	$327.72	$444.00	$646.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $759.96 / $1,032.00 / $1,517.54	Professional	TC	$759.96	$1,032.00	$1,517.54
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $2,118.00 / $2,118.00 / $2,118.00	Facility	26	$2,118.00	$2,118.00	$2,118.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,104.14 / $1,542.59 / $6,888.39	Professional		$1,104.14	$1,542.59	$6,888.39
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $317.62 / $464.21 / $1,791.90	Professional	26	$317.62	$464.21	$1,791.90
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $788.55 / $1,073.90 / $5,096.49	Professional	TC	$788.55	$1,073.90	$5,096.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.08 / $1,496.79 / $2,618.08	Professional		$1,097.08	$1,496.79	$2,618.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $334.19 / $464.21 / $753.12	Professional	26	$334.19	$464.21	$753.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $788.55 / $1,073.90 / $1,864.96	Professional	TC	$788.55	$1,073.90	$1,864.96